Hakan BULUŞ, Altan AYDIN, Ahmet Murat KOYUNCU, Alper YAVUZ, Ali COŞKUN

Akut batın hastalarında nutrisyonel değerlendirme sonuçlarımız

Amaç: Malnutrisyon, hastanede yatan hastalarda sık görülmektedir. Genel cerrahi kliniklerinde yatan hastalarda da malnutrisyon insidansı yüksektir. Akut batın hastalarında hastalığın ciddiyeti nedeniyle nutrisyonel değerlendirme genellikle göz ardı edilir. Ancak bu hastalarda nutrisyonel değerlendirme önemlidir. Yöntem ve Gereçler: Keçiören Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniğinde Ekim 2010 - Ocak 2011 ta- rihleri arasında akut batın nedeniyle opere edilen hastaların nutrisyonel durumları preoperatif dönemde Nutritional Risk Screening ( NRS) 2002 skorlama sistemi kulanılarak değerlendirildi. Hastaların yaş, cinsiyet, tanı ve NRS 2002 skorları kayıt edildi. Bulgular: Toplam 133 hasta Akut batın nedeniyle opere edildi. Hastaların 84 (% 63 )’ ü erkek, 49 ( % 37)’ u kadındı. Hastaların yaş ortalaması: 40.37 (17- 88) idi. Hastaların NRS 2002 skor ortalaması 1.2 (0- 7) olarak saptandı. Tüm hastaların 28 (% 21)' inde NRS 2002 skoru 3’ ün üzerinde saptandı ve malnütrisyon risk grubunda değerlendirilerek nütrisyon programına alındı. Sonuç: Acil hastalarda hastalığın ciddiyeti nutrisyonel değerlendirmeyi göz ardı etmemize sebep olabilir. Ancak bu hastalarda malnutrisyon sık izlenir.

Nutritional assessment results of patients with acute abdomen

Aim:Malnutrition is frequently observed in hospitalized patients. High incidence of malnutrition is monitored in general surgical clinics. Nutritional assessment in patients with acute abdomen is generally ignored due to the seri- ousness of the disease. However, nutritional assessment is important in these patients. Material And Methods: In this study, the patients were operated in Kecioren Training and Research Hospital Gen- eral Surgery Clinic between November 2010 – January 2011 for acute abdominal conditions, who were evaluated for nutritional status with Nutritional Risk Screening 2002 preoperatively. The age, gender, diagnosis, and NRS 2002 scores were recorded. Results: Total 133 patients were operated due to acute abdomen, 84 (63%) of them were male and 49 (37%) were women. Mean age was 40.37 (17-88). Mean NRS 2002 score of patients was 1.2 (0-7). Twenty-eight (21%) of the patients received nutrition program since NRS 2002 scores were over 3. Conclusion: In emergency patients, severity of disease may lead us to ignore nutritional evaluation. However, mal- nutrition is observed in these patients frequently.

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